Katherine Elaine Booker, RN BSN

Individual provider Active NPI Registered Nurse · Sevierville, TN

NPI 1336768621 · NPPES record last updated Apr 16, 2020

Key facts

NPI
1336768621
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
174367 (TN)
Practice address
1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone
(865) 970-9800
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
174367TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center Past
since Apr 19, 2020
Accepting new patients
Sleep Associates of East Tennessee PLLC Past
since Apr 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 174367 TN Yes

Addresses

Primary practice location

1104 Foxwood Dr
Sevierville, TN 37862-6000

Mailing address

1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone (865) 970-9800

Other providers in Sevierville, TN

All providers in Sevierville, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.